Contraction stress test after hyperstimulation patterns during antepartum fetal heart rate monitoring. 1988

J P Elliott, and M K Barry
Division of Maternal-Fetal Medicine, Good Samaritan Medical Center, Phoenix, Arizona 85006.

Hyperstimulation during fetal heart rate (FHR) monitoring occurs when a deceleration in the FHR accompanies a contraction lasting greater than 90 seconds or contractions more frequent than every 2 minutes. A posthyperstimulation contraction stress test (CST) was performed, and if it was reactive negative, the next day's test was evaluated. On the next day, 170/250 (68%) of the tests were reactive negative, 33/200 (13%) of the patients underwent labor induction, 28/250 (11%) of the tests had hyperstimulation patterns again, and 19/250 (8%) of the tests were reactive equivocal; there were no positive tests. In this series of 250 repeat tests there were no adverse outcomes in patients who had a reactive negative CST after a hyperstimulation pattern, suggesting that the second test can be performed in a week rather than in a day.

UI MeSH Term Description Entries
D007751 Labor, Induced Artificially induced UTERINE CONTRACTION. Induced Labor,Induction of Labor,Labor Induced,Labor Induction,Induced, Labor,Induction, Labor,Inductions, Labor,Labor Inductions
D010927 Placental Insufficiency Failure of the PLACENTA to deliver an adequate supply of nutrients and OXYGEN to the FETUS. Insufficiency, Placental
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D005260 Female Females
D006340 Heart Rate, Fetal The heart rate of the FETUS. The normal range at term is between 120 and 160 beats per minute. Fetal Heart Rate,Fetal Heart Rates,Heart Rates, Fetal,Rate, Fetal Heart,Rates, Fetal Heart
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D014590 Uterine Contraction Contraction of the UTERINE MUSCLE. Myometrial Contraction,Contraction, Myometrial,Contraction, Uterine,Contractions, Myometrial,Contractions, Uterine,Myometrial Contractions,Uterine Contractions

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